NUR 355 EXAM 2 CERTIFICATION TEST PAPER
2026 COMPLETE SOLUTIONS GRADED A PLUS
◉ Ataxia.
Answer: Lack of coordination and balance (abnormal gait); a-
abnormal taxi- movement.
◉ Romberg sign.
Answer: Ask a person to stand up with feet together and arms at
sides, ask to close eyes and hold for 20 seconds. Normal can
maintain this position with slight swaying, falling can indicate
multiple sclerosis.
◉ Extinction.
Answer: Simultaneously touch both sides of the body at the same
point, and ask the person to state how many sensations are felt and
where they are.
◉ Unilateral neglect.
Answer: Total inattention to one side of the body (stroke); for
example, brushing one side of hair.
◉ Child/Elder neglect.
,Answer: Frail, poor hygiene, non-weather appropriate clothing,
abandonment.
◉ Astereognosis.
Answer: Inability to identify object correctly (tested with a ball in
hand).
◉ Graphesthesia.
Answer: Ability to read a number by having it traced on the skin.
◉ Skin turgor.
Answer: Never check on hand; check on arm and sternum and collar
bone only. Abnormal finding is tenting.
◉ Snellen chart.
Answer: Ratio 20/70 seeing 20 ft of what the average person can see
at 20 ft (20/20 normal); abnormal is above 20/20. Not done with
glasses.
◉ Visual accommodation.
Answer: Shine a light and pupils should constrict when objects get
closer and then dilate when an object gets further away.
, ◉ PERRLA.
Answer: How to document visual accommodation findings.
◉ Borborygmi.
Answer: Tummy grumbles; normally present.
◉ Hyperactive.
Answer: Hunger (did not eat).
◉ Tympany.
Answer: Result of percussion, loud, hollow; normal in stomach and
intestines, abnormal in thoracic cavity.
◉ Bruit.
Answer: Sound you hear; a bruit and you feel a thrill; normal at AV
fistulas, abnormal anywhere else in the body especially in abdomen.
◉ Weber test.
Answer: Hit tuning fork then put in middle of head testing for
localization; normal person can hear in both ears. Conductive
hearing loss hears louder in affected ear; sensorineural hears louder
in non-affected ear.
2026 COMPLETE SOLUTIONS GRADED A PLUS
◉ Ataxia.
Answer: Lack of coordination and balance (abnormal gait); a-
abnormal taxi- movement.
◉ Romberg sign.
Answer: Ask a person to stand up with feet together and arms at
sides, ask to close eyes and hold for 20 seconds. Normal can
maintain this position with slight swaying, falling can indicate
multiple sclerosis.
◉ Extinction.
Answer: Simultaneously touch both sides of the body at the same
point, and ask the person to state how many sensations are felt and
where they are.
◉ Unilateral neglect.
Answer: Total inattention to one side of the body (stroke); for
example, brushing one side of hair.
◉ Child/Elder neglect.
,Answer: Frail, poor hygiene, non-weather appropriate clothing,
abandonment.
◉ Astereognosis.
Answer: Inability to identify object correctly (tested with a ball in
hand).
◉ Graphesthesia.
Answer: Ability to read a number by having it traced on the skin.
◉ Skin turgor.
Answer: Never check on hand; check on arm and sternum and collar
bone only. Abnormal finding is tenting.
◉ Snellen chart.
Answer: Ratio 20/70 seeing 20 ft of what the average person can see
at 20 ft (20/20 normal); abnormal is above 20/20. Not done with
glasses.
◉ Visual accommodation.
Answer: Shine a light and pupils should constrict when objects get
closer and then dilate when an object gets further away.
, ◉ PERRLA.
Answer: How to document visual accommodation findings.
◉ Borborygmi.
Answer: Tummy grumbles; normally present.
◉ Hyperactive.
Answer: Hunger (did not eat).
◉ Tympany.
Answer: Result of percussion, loud, hollow; normal in stomach and
intestines, abnormal in thoracic cavity.
◉ Bruit.
Answer: Sound you hear; a bruit and you feel a thrill; normal at AV
fistulas, abnormal anywhere else in the body especially in abdomen.
◉ Weber test.
Answer: Hit tuning fork then put in middle of head testing for
localization; normal person can hear in both ears. Conductive
hearing loss hears louder in affected ear; sensorineural hears louder
in non-affected ear.
